Individual
MARK ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1170 PONTIAC AVE, CRANSTON, RI 02920-7944
(401) 500-0424
Mailing address
420 SCRABBLETOWN RD STE A, NORTH KINGSTOWN, RI 02852-3638
(401) 268-5333
(855) 268-5333
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD08762
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9006816
—
RI
Enumeration date
12/19/2005
Last updated
10/07/2025
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